umbiko nqubo wesabelo zimali womnyango wezempilo …
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UMBIKO NQUBO WESABELO ZIMALI WOMNYANGO WEZEMPILO (IVOTI 7)
OTHULWE MHLA ZINGAMA-25 KUNDASA ONYAKENI WEZI-2011
Somlomo
Ndunankulu ohloniphekile– Dkt Zweli Mkhize, Gubhela
Sihlalo weKomidi ebhekela ezeMpilo KwaZulu-Natali – Nks Zanele Ludidi
Malungu esiGungu esiPhezulu
Malungu ahloniphekile esiShayamthetho
Bantwana basendlunkulu
Zimeya, maKhansela kanye namaKhosi
Nhloko YoMnyango wezeMpilo– Dkt Sibongile Zungu
Ziphathimandla eziphezulu emnyangweni wezeMpilo
Basebenzi bemikhakha yonke kwezempilo esifundazweni
Mphakathi waKwaZulu-Natali
Zimenywa ezihloniphekile
Manene namanenekazi
Somlomo, izolo uNgqongqoshe kaZwelonke wezeMpilo, uDkt Aaron Motsoaledi,
wethule uhlelo lukazwelonke lokulwisana nesifo sofuba (i-TB) olubandakanya isu
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eleyame eMphakathini futhi wethula umshini omusha ‘iGeneXpert” ohlolela isifo
sofuba esibhedlela iPrince Mshiyeni Memorial. Lobu buchwepheshe
buzonciphisa kakhulu isikhathi sokulinda imiphumela yesifo sofuba, iziguli
zingayithola imiphumela esikhathini esingamahora amabili nje kunokulinda
amasonto amane. Lo mshini ngomunye kwabayisihlanu kuphela bale nhlobo
emihlabeni jikelele.
Uhambo lwakhe esiFundazweni lwalufanele njengoba mhla ziyi-24 Mashi
wuSuku lweSifo soFuba eMhlabeni. Uhambo lwakhe lwaluyinkomba esobala
lokuzinikela kwahulumeni ekuqedeni isifo sofuba kanye negciwane lesandulela
ngculaza ezweni, luphinde futhi lugcizelele okwashiwo nguNdunankulu
oHloniphekile lapho athi “Uma iNingizimu Afrika izofeza injongo yokuba
“iNingizimu Afrika engenaso isifo sofuba, isandulela ncgulaza kanye nehlazo
elihambisana nezifo, kumele iKwaZulu-Natali ihole leyo nguquko”. Impela
sisemzileni wokenzwa leyo nguquko.
INingizimu Afrika ingelinye lamazwe anomthwalo onzima mayelana nesifo sofuba
emhlabeni jikelele futhi ibekwe njengezwe lesithathu. Izwe lethu lingelinye
lamazwe ayi-22 anomthwalo onzima owenza cishe amaphesenti ayi-22 kwaso
sonke isibalo sabanesifo sofuba emhlabeni wonkana. Ngo-2009, kwabikwa
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ngabanesifo sofuba abacishe yizinkulungwane eziyi- 407,000, kuthi isibalo
esicishe sibe ngamaphesenti angama-50 simele iKwaZulu Natali neMpumalanga
Koloni. Isifundakantolo saseThekwini yisona sodwa nje esimele isibalo
esiyizinkulungwane eziyi-45,000 (okungamaphesenti angama-35,1) sabanesifo
sofuba. Somlomo, isibalo esiyi-100 ebantwini abayi-100 000 sabanesifo
sikhomba ubhubhane.
Kumele sikuqaphele futhi ukuthi iKwaZulu-Natali inesilinganiso samaphesenti
angama-73 sabanegciwane lesandulela ngculaza nesifo sofuba kanye kanye.
Esisebenzisana nabo kubandakanya abathathizinqumo, abakhandi
bezinqubomigomo, abenzeli, abaxhasi, ohulumeni, abahola ngokwemibono,
izinhlangano ezizimele zamaqembu ochwepheshe noma ezinkolo, imithombo
yezindaba, umkhakha ozimele, imiphakathi kanye nabantu abazimele
ngabodwana.
Malunga endlu nezimenywa ezihloniphekile:
Kulo nyaka sigubha ikhulunyaka labantu besifazane abangabagqugquzeli
boguquko ukwenza ngcono izimpilo zabo, imiphakathi kanye nezezempilo.
Eminyakeni eyikhulu edlule, izinqubekela phambili eziningi zithuthukise
ezezempilo kubantu besimame namatombazane. Izibonelo zibandakanya:
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izinguquko emphakathini nakwezomthetho mayelana namacala ezocansi athinta
amantombazane, ukutholaka kosizo ukukhipha isisu ngokuphephile, usizo
lwamahhala ngaphambi kokubeletha, ukuhlinzeka usizo lwezempilo mahhala
ezinganeni ezingaphansi kweminyaka eyi-6, ukuhlolela isifo somdlavuza kanye
neminye imisebenzi yezezempilo eqinisekisa ukuthi abantu besifazane abaguli
ngenxa yokuba abesifazane nje; kanye nenqubekela phambili eqeda imikhuba
enobungozi njengokusebenzisa indluzula ngokocansi noma ngokobululi.
Sizwile ngomlingani wami uMhlonishwa uES Mchunu ukuthi amantombazane
ayi-17 260 asafunda esikoleni akhulelwe ngo-2010 KwaZulu-Natali.
Somlomo, kuyadabukisa futhi ukuthola ukuthi KwaZulu amantombazane awayi
esikoleni uma eya esikhathini. Lokhu kungenxa yokuthi amaphesenti angam-
70% anakekelwa ngugogo noma umkhulu ophila ngesondlo esivela
kuhululumeni. Kulesi sikhathi ngifisa ukudlulisa ukubonga kubaholi bethimba le-
Operation Sukuma Sakhe eliholwa nguNdunakulu ohloniphekile uDkt Zweli
Mkhize kanye neNhloko yoMnyango wezeMpilo, uDkt Sibongile Zungu,
emasontweni ambalwa adlule, elihambise imisubelo, eSikoleni esiPhakeme
Empilweni endaweni yakwaNongoma.
Okuvelele kowezi-2010
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Impela owezi-2010 bekungunyaka wezinselelo kwezempilo ezidalwe
wuchungechunge lwezehlakalo. Kodwa bekungunyaka futhi lapho kuqiniswe
kwasimamiswa ubudlelwane obubhekelele isikhathi esizayo obuyogcina
ngokuletha imiphumela engcono kwezezempilo emikhakheni embalwa emqoka
njengezezempilo zomama, izingane nabesifazane, ukunqandwa kwegciwane
lesandulela ngculaza iHIV; ukwenziwa ngcono kwezingabunjalo lokunakekela
kanye nokubumba abasebenzi abathembekile kwezempilo abazinikele
ekuhlinzekeni umsebenzi wokunakekela kwezempilo oseqopheleni eliphezulu
kubantu kanye nabo abantu baKwaZulu-Natali.
Unyaka uqala ngodaba lokwethulwa kohlelo oluvuthayo obeluhlose ukuba lube
selusoke abesilisa abangaphezu kwezi-200 000 lapho sifika kulesi sikhathi
sonyaka. Uhlelo luthakaselwe kakhulu yilabo abathintekayo, ikakhulu abagcina
amasiko nemikhuba – Abaholi beNdabuko. Uhlelo luphinde lwaveza
uNgqongqoshe wezeMpilo, uDkt Aaron Motsoaledi kanye noNdunakulu wethu,
uMhlonishwa uDkt Zweli Mkhize begqoka amajazi abo amhlophe, bezihlanganisa
nebutho labasebenzi abanakekela ezempilo, bezibambele mathupha kulo
msebenzi.
Sikuthokozela kakhulu ukusekwa okuqhubekayo nguNdabezitha, iSilo
samabandla, kanye naBantwana baseNdlunkulu kulolu hlelo njegoba kuvelile
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eMkhosini woSelwa eNyokeni lapho abesilisa abayizi-5000 ababesokiwe baba
yibutho Izichwe.
Bayede!
Sizobika kabanzi ngalolu hlelo.
Owezi-2010 uphinde wakhombisa inqubekela phambili esimeme ekufezeni
iziNhloso zokuThuthukisa ngeNkulungwanenyaka ezithinta ezempilo
ikakhulukazi eziqondene nokushona kwezingane kanye nezezempilo
zemidlezane – iziNhloso 4 no-5 ngokulandelana. KuNcwaba, sibambisene
noNdunankulu kanye noNdlunkulu uThandi maNdlovu, sethule uChungechunge
lweziNhlelo zezeMpilo zoMama nezingane zokuHlenga iMpilo lwezi-2014.
• Esizogxila kukho lapha ukwethula ubuchwepheshe obuhlenga impilo,
ukuhambisa ngohlelo izinqubo zemidlezane nezinsana kanye nokwenza
ngcono ukubikwa kwezimbangela ezithile zokushona nokuguliswa yizifo
kwezinsana okuthintene nemidlezane.
• Sihlose futhi ukwenza kube lula ukufinyelela ezindaweni zokubelethisa
eziphephile ngokusungula izikhungo zokubelethisa ezizohlinzeka usizo
olunqgangi oluphuthumayo ezindaweni ezimqoka ezihleliwe.
• Njengoba kuphawuliwe nguNdunankulu ethula iNkulumo yesiFundazwe
yoNyaka, silungiselele ukudala izikhundla ezinhlanu kwisifundakantolo
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ngasinye lapho sizoqasha iNhloko yodokotela bokubelethisa, iNhloko
yodokotela bezingane, uDokotela oyingcwepheshi ezifweni ezithile,
uMbelethisi olulwazinzulu kwezokubelethisa kanye neNhloko yodokotela
bemithi yokudikizisa imizwa, lokhu kuwumzamo wokuhlinzeka ubuholi
kanye nokubuyisa ukusetshenziswa kwezinqubo esezivivinywe isikhathi
eside kanye nokwenza ngcono umphumela emveni kokubeletha ngokuba
izibhedlela nemitholampilo zikusingathe ngokucophelela.
Mayelana nezingane ezineminyaka engaphansi kweminyaka emihlanu;
ngokuphazima kweso sesiqalise ukusebenza kweMigomoseluleko ngeGciwane
leSandulela Ngculaza kanye nokuncelisa ingane njengenye yezindlela eziningi
zokungenelela ukuze izinsana zibe nekusasa eliqhakazile. Ukushona
okungaphezu kwesigamu kwezingane ezingaphansi kweminyaka eyisihlanu
kuxhumene nokungondleki noma ukuncelisa ibele okunganele. Uma ukuncelisa
ibele kuphela kuqhathaniswa nokuncelisa ibele okuxutshwe nebhodlela,
ukuncelisa ibele kukhombise ukuncipha kokhishwa yisis, izifo ezithathelana
ngokuphefumula kanye nokuqhubuka kwesihlungu. Ukuncelisa ibele yisu
elimqoka ekusindiseni ingane.
Somlomo, isifo senkohlakalo, sokukhwabanisa kanye nokweba sicekela phansi
uhulumeni wethu wentando eningi kanye nenhloso yethu yempilo engcono
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kuwonke wonke. Ngenxa yalokhu, akukho esingakuzamanga ukuqeda
inkohlakalo lapho ivele khona futhi sizobe sibika ngemiphumela emihle esiyifezile
maqondana nalokhu.
Somlomo, kuyintokozo enkulu kimi ukuba ngiphinde ngethule Isabelo zimali
sethu sesithathu (iVoti 7) kowezi- 2011, onyakeni okulindelwe lukhulu lapho
bonke abantu bezoyovota ngoNhlaba bayokhetha abazobamela ababathandayo
ababeke amathemba namaphupho abo kubo mayelana nekusasa elingcono
nezezempilo ezingcono. Izinkinga ezikhona zinkulu futhi uMnyango wezeMpilo
KwaZulu Natali uyakuqonda ngokusobala okumele ukwenze ukuhlinzeka
“ukunakekela kwezempilo okungcono ngohlelo izakhamizi eziningi
zaseNingizimu Afrika zingafinyelela kulo, kuhlanganisa ukuqaliswa
komshwalense wezempilo kazwelonke.” Umhlonishwa uNdunankulu, uDokotela
Zweli Mkhize, useke wahlongoza ubukhulu bale nselelo. Enkulumweni yakhe
yoNyaka wezi-2011 yeSifundazwe, wasazisa ukuthi; “Kubalulekile ukwamukela
ukuthi isizinda somthwalo wezifo ezihlasela iNingizimu Afrika ugxile kulesi
sifundazwe.”
Waqhubeka wazisa indlu ukuthi siyizwe elilwa nezifo ezine eziwubhubhane -
izwe elilodwa, izifo ezine eziwubhubhane. Yilezi; igciwane lesandulela ngculaza,
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ingculaza nesifo sofuba, izifo ezingathathelani ezihambisana nempilo
esiyiphilayo ezinjengehayihayi (umfutho wegazi ophakeme), izifo zomdlavuza
nesifo sikashukela, ubuhlungu obungasheshe budlule kanye nobugebengu
obunendluzula okuhlangene kakhulu nophuzo oludakayo nokusetshenziswa
kwezidakamizwa eziyingozi, kanye nezifo ezigulisa izingane nokushona kwazo
okuthintene nemidlezane. Njengomnyango, simzwile uKhabazela ngesikhathi
ethi: KUMELE KUBE YIKWAZULU NATALI OKUMELE ISEBENZE
NGOKUBAMBISANA UKUZE IYISE PHAMBILI ININGIZIMU AFRIKA.
Somlomo, ngokukaNgqongqoshe kaZwelonke, uMnyango unikezwe umsebenzi
wokuba uqinisekise ukuthi ‘Kuba khona impilo ende nenempilo kuzo zonke
izakhamuzi zaseNingizimu Afrika’. Sesiqambe isu isu samisa izinhlelo zokwenza
le nhloso ifezeke ngowezi- 2014/15. Sihlele lezi zinhlelo ezilandelayo;
• Iminyaka okulindeleke ukuba uyiphila yenziwe ngcono kakhulu ifinyelele
ema-71 isuke lapho ikhona njengamanje kubantu besilisa eminyakeni
engama-47,3 nabesifazane eminyakeni engama-51.
• Isibalo sokuqhathanisa ukushona kwezingane okuthintene nemidlezane
siyi- 135 noma ngaphansi ezi-100 000 yezingane ezizalwa ziphila
kunalokhu okukhona okwamane okungama-224,4 ezi-100 000 zezingane
ezizalwa ziphila.
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• Isibalo sokuqhathanisa sabangaphansi kweminyaka emi-5 sibe ama-37
enkulungwaneni kokwamanje okungama- 87.7 enkulungwaneni.
• Isilinganiso sokwelapha isifo sofuba esingamaphesenti angama-85 sisuka
kwesamanje esigama 62 %, kanye
• nokutholakala kwamantiretroviral kufinyelele emaphesentini angama-90
abo bonke abantu abafanele ukuwathola kunawamanje angama- 74.
Malungu ahloniphekile, nizovumelana nathi ukuthi okuyinkinga enkulu kakhulu
yigciwane lesandulela ngculaza nengculaza.
Igciwane lesandulela ngculaza nengculaza
Somlomo, ngokwemiphumela yophenyo lwezi-2009 lwe-ANC ngegciwane
lesandulela ngculaza, iKwaZulu Natali ihamba phambili ngabanegciwane
lesandulela ngculaza ngamaphesenti angama-39,5%. Lesi siifundazwe futhi
sinohlelo olusabalele lokulwa negciwane sandulela ngculaza nengculaza ezweni
ngoba sinezindawo ezingama-386 eziqala ukufundisa nokunikezela ngama-
antiretroviral ezakhiwe yizibhedlela ezingama-63 nemitholampilo engama 323.
Ekupheleni kukaZibandlela ziyizi- 425, 936 iziguli ezazisebenzisa ama-
antiretroviral. Kuleso samba, izingane ziyizi-38 522.
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Ukwenza ukutholakala kwemishanguzo kube lula, sesinamaqembu angama-21
azulazula esifundazweni ukuqinisekisa ukuthi abafanele ukungenela izinhlelo
zama ART, bayakwazi.
Zonke izibhedlela (u100%) kanye namaphesenti angama-75 ezikhungo
zezempilo zomphakathi manje asehlinseka umshanguzo iPost Exposure
Prophylaxis, kulabo abanukubezwe ngokocansi. Lena indlela eyodwa izwe
elinabantu abahle elingayidingi, kodwa ngeke ukholwe, ngezi-2008/09 uma
sekuhlanganisiwe ziyizi 10, 423 izigameko zokunukubezwa ngokocansi ezibikiwe
ezikhungweni zezempilo zomphakathi, kwathi abayizi-3 604 banikezwa
umshanguzo ARV iProphylaxis.
Siyathokoza ukusho ukuthi intengo yama-ARV seyehlile, kokunye yehle
ngamaphesenti angama-50 futhi lokhu kusho ukuthi imali eningana
izosetshenziselwa ukukhokhela eminye imisebenzi esezinhlelweni zokulwa
negciwane lesandulela ngculaza nengculaza.
UMnyango wethu usabambelele ekutheni indlela yokubhekana nobhubhane
encomekayo nenokuqhubeka yiyona enokungenelela okukhalimayo njengensika
yalo. Siyakugcizelela ukuthi impumelelo yokungenelela okukhalimayo kuncike
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kakhulu ekuzinikeleni komphakathi wonkana ekusizeni umuntu ashintshe
ukuziphatha kwakhe okuwumthwalo kawonke wonke eNingizimu Afrika.
Ukuba nesifo sofuba/Igciwane lesandulela ngculaza kanye kanye
Igciwane lesandulela ngculaza liyimbangela enkulu yokungaphumeleli ukugcina
isifo sofuba silawuleka esimweni lapho izinga legciwane lesandulela ngculaza
livele liphezulu njengesifundazwe sethu. Isifo sofuba siyimbangela enkulu
yokushona kwabantu abaphila negciwane lesandulela ngculaza kanye
nengculaza. IKwaZulu-Natali ithwala ubunzima bobhubhane besifo sofuba
esidlondlobaliswa yigciwane lesandulela ngculaza
Ekulweni nezifo eziwubhubhane igciwane lesandulela ngculaza kanye nesifo
sofuba, umnyango, ngokubambisana nabanye uqalise izinhlelo zeTB/HIV
eziyingqikithi ekuvikeleni isifo sofuba negciwane lesandulela ngculaza. Lokhu
kuhlangana kwezinhlelo zokulwa negciwane sandulela ngculaza nesifo sofuba
okuyingxenye ebalulekile emkhankasweni weHCT kuzoqinisekisa ukuthi zonke
iziguli ezinegciwane lesandulela ngculaza zizohlolelwa isifo sofuba
njengenjwayelo ukuze abantu abafanele basheshe bathole ukwelashwa.
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Kuze kube yimanje; sesihlole abantu abayizi-1 260 648 sibahlolela isifo sofuba
esifundazweni, amaphesenti angama- 90 eziguli ezinegciwane lesandulela
ngculaza zihlolelwe isifo sofuba, iziguli ezinegciwane lesandulela ngculaza
zanikezwa i-Isoniazid Preventive Therapy (IPT) ukuzivikela zingabe zisangenwa
yisifo sofuba, iziguli eziyizi-23 126 zeziqaliswe nge-IPT kusukela kuMbasa wezi-
2010 futhi sasungula umkhankaso oshubile ngoNhlolanja wokuhlolela isifo
sofuba eThekwini.
Siphinde sihlinzeke imisebenzi ye-ART ezikhungweni ezibhekela ukunakekela
okuyisisekelo kwezeMpilo ukuqinisa ukuqaliswa kokuhlanganiswa kwezifo
sofuba/nengculaza kwazise iziguli azisadluliselwa ezikhungweni eziseduze
ukuze zithole usizo lwe-ART.
Abahlinzeki bosizo lwezempilo baqeqeshwe yiNhlangano yokuThuthukisa
ezobuChwepheshe ngokusingatha isifo sofuba kanye negciwane lesandulela
ngculaza ndawonye futhi kunohlelo lokululekwa oluqhubekayo oluyi ‘Pulsar Plus’
kuzo zonke izifundakantolo ukuqinisekisa ukuthi ukubhekelelwa kwezidingo
zabantu kungokwezingabunjalo.
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Sekubonakale imiphumela emihle ngenxa yalokhu kukhuliswa kokuhlanganiswa
kwiziguli ezikhungethwe yizo zombili lezi zifo ezithola usizo oluhlanganisa konke
njengoba kugcizelelwe embikweni wokuba nesifo sofuba/igciwane lesandulela
ngculaza kanye kanye. Ukuba nesifo sofuba nesandulela ngculaza kanye kanye
kungamaphesenti angama-63 kulo ngxenye yokubika. Lokhu kuveza ukwehla
kusuka kumaphesenti angama- 71 ezingxenyeni ezedlule.
Nokho, ukubikwa sekwedlule isikhathi nokufunwa kosizo lwezempilo
kuseyinselelo futhi kulibazisa ukuqaliswa kwama-ART kakhulukazi kwiziguli
eziphethwe yisifo sofuba/nesandulela ngculazi kanye kanye.
Ukuvikela ukutheleleka kwengane yigciwane lisuka kunina
Somlomo, ingculaza isibe imbangela enkulu yokushona kwezingane okuthintene
nemidlezane (iMTCT) eNingizimu Afrika futhi ukusuka kumama iya kumntwana
yikona okudale ukutheleleka ngegciwane kwezingane okuningi.
Ukuvikela ukutheleleka ngegciwane kwezingane lisuka kunina sekube phambili
ezinhlelweni zethu zokuvikela igciwane lesandulela ngculaza, kulandela
ukuphumelela kulingwa ukusetshenziswa kwemishanguzo izidovudine
neneviropine ephuzwa kanye. Loku kunikeza ithemba lendlela yokungenelela
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elula, eshibhile yokunganciphisa ukutheleleka kwengane ngegciwane lisuka
kumama.
Sifisa ukunxusa indlu ihlanganyele kanye nathi ekubongeni amadoda
nabafezifane abathathe igxathu kulo mkhakha. Somlomo, sesizihlelele izinjongo
zokunciphisa ukushona ezilawulwa yiziNhloso zokuThuthukisa
zeNkulungwanenyaka futhi zamiselwe izifundakantolo ngasinye ukuba zizifeze.
Somlomo, ikhona inqubekela phambili futhi sinako esethembele kukho ukuthi
izinga lokushona liqoguquka njengoba sibika ngokulandelayo esiphumelele
kukho: Kwi-ANC abaqalayo ukuhlolela igciwane lesandulela ngculaza sasibheke
amaphesenti angama-95 kodwa sathola amaphesenti angam-91,8, sasihlela
ukuqalisa amaphesenti angama-90 kubo bonke abakhulelwe i-AZT ngonyaka
wezi-2010 kodwa sathola amaphesenti ayi-100, sasethemba ukunikezela
ngeNevarapine ezinganeni ezingamaphesenti angama- 80 ezizalwe ngonina
abanegciwane lesandulela ngculaza kodwa sathola amaphesenti angama-85,5.
Le nkomba ibheka izingane esinikezwe umshanguzo iNevarapine (NVP)
emahoreni angama-72 emva kokuzalwa, ngakhoke akufinyelelwanga
kumaphesenti angama-100 ngenxa yababeletha emakhaya baze beze
ezikhungweni embeni kwamahora angama- 72.
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Somlomo, isifundazwe sibheke ohlelweni olulawulwa ngabahlengikazi –uHlelo
lwemishanguzo ama-Antiretrovirals oluqaliswa lusingathwe
ngabahlengikazi(iNIMART). Kuso sonke isifundazwe, abahlengikazi belulekwa
ngodokotela ngokuqalisa iziguli ngama-ARV.
Umnyango nawo usezinhlelweni zokuqala uhlelo lokufundisa ngeNIMART lapho
labo bahlengikazi sebeyoqeqesha beluleke abahlengikazi abahlinzeka usizo
lokunakekela oluyisisekelo. Sinenhlanhla yokuthi iningi labo ngababelethisi
ngoba lokhu kuzokwandisa ukuthi sibe nabahlengikazi abanolwazi lokusebenza
nabesifazane abakhulelwe abanegciwane lesandulela ngculaza.
Sibheke ukwenza kangcono ngoba onyakeni omusha wezimali sinehloso
yokuqalisa uhlelo lwePMTCT umbhalo wohlelo lomyalezo omfushane (iSMS)
kwizifundakantolo ezimibili, eThekwini (ePrince Mshiyeni nasemitholampilo
exhumene nayo) kanye naseMgungundlovu (e-Edendale nasemitholampilo
exhumene nayo) futhi siyethemba ukuthi lokhu kuzokwenza imiphumela ibe
mihle kakhulu.
Manene namanenekazi, ukuvikela ukukhulelwa okungahlosiwe kubantu
besifazane abaphila nesandulela ngculazi kuyinto ebalulekile kakhulu
17
ukunciphisa ukutheleleka kwezingane ngegciwane lesandulela ngculaza. Bonke
abesifazane, ngale kokuthi banalo noma abanalo igciwane lesandulela ngculaza,
bayaludinga usizo mayelana nezinto ezinta ukuhlela imindeni, lapho
sebezimisele noma bethanda ukukwenza lokho. Ngokusiza abesifazane abaphila
negciwane lesandulela ngculaza ukuthi bagweme ukukhulelwa noma balinde,
ukufinyelela kwabo kulezi zinsiza kungenza izingane zingatheleleki ngegciwane
lesandulela ngculaza.
Umkhankaso wokwelulekwa ngegciwane sandulela ngculaza nokuhlolwa
Lo mkhankaso wethulwa KwaZulu-Natali ngonyaka ophelile ngoNhlaba wezi-
2010 kukhona uNgongqoshe wezezimali, uMhlonishwa, uPravin Gordhan,
nePhini likaNgqongqoshe wezokuBbambisana namasiko uMhlonishwa uYunis
Carrim kanye neningi lenu lapha endlini njengegxenye yeqhinga likaZwelonke
lokulwa nokwanda kwegciwane lesandulela ngculaza kanye nengculaza.
Lo mkhankaso Somlomo, wawuyinkomba yokuthi uhulumeni wethu usesukile
enqubeni yokuba umuntu azohlola ngokuthanda kwakhe, wayo kwehlinzeka
iHCT kuzo zonke iziguli lapho zingena nje ohlelweni lwezempilo.
18
Lolu guquko lubeka umsebenzi konompilo ukuba achazele iziguli ngokubaluleka
kokwazi ngesimo sakho segciwane lesandulela ngculaza kanye nokuhlolela
igciwane lesandulela ngculaza njengengxenye yempilo yokugqugquzela wonke
umuntu futhi yamukeleke.
Somlomo, manje siyazisa ukuthi phakathi kukaMbasa noMasingana wezi-2011
ziyi 1, 626,192 izakhamizi esezilulekiwe zahlolela igciwane lesandulela ngculaza
futhi ziyi 1,260,648 esezivikelekile kwisifo sofuba. Loku kubeka isifundazwe
kumaphesenti angama-79 ekufezeni injongo yeHCT emisiwe.
Ngokomoya wokudala amathuba emisebenzi, uhlelo lweHCT njengamanje
seluqashe abantu abangaphezulu kwe-1900. Laba bantu bazuze ulwazi
ngegciwane lesandulela ngculaza kanye nengculaza abangalusebenzisa
ukufundisa imindeni yabo nababathandayo. Zonke izikhungo zomphakathi
zezempilo zinikezela ngohlelo lweHCT njengengxenye yezinhlelo zezempilo
eziyisikelo.
Emizamweni yethu yokuqinisa uhlelo lokuvikela igciwane lesandulela ngculaza
sesikhulume noMnyango wezokuthutha, neziNkampani ezithutha impahla,
neziNyonyana zamaTekisi. Lena indlela yokuhlela izakhiwo zeHCT
19
ezingomahambanendlwana emarenke amatekisi, yokusungula izindawo zokuma
zezinqola ezinkulu ngokulandela indlela esetshenziswa eNdiya ebeka abashayeli
bezinqola ezinkulu njengomgogodla womnotho wezwe. Kuhlongozwa ukuba
abashayeli banikwe izindlu zokuphumula ezenziwe ukuthi bazizwe bengumndeni
wamadoda ngokuba banikezwe izindlu ezinhle zokuphumula ohlelweni
olugcizelela ukuphatheka kahle nokudla ngendlela edingekayo.
Uhlelo lokusoka
Seluloku lwethuliwe nguNdabezitha ngoMbasa wezi-2010, ukuqaliswa kwalolu
hlelo sekube nezithelo ezinhle kanye nokuluthakasela esiFundazweni sonkana.
Zonke izifundakantolo KwaZulu-Natali beziqhuba uhlelo lokusoka ezibhedlela
nasemakamini.
Sesihambe kakhulu sasiza ngalolu hlelo ezikhungweni zemfundo ephakeme
nasemajele. eDurban University of Technology besinabafundi abayi-118, kwathi
Ongoye saba nabafundi abayi-153 abalungenele. Kuze kube yimanje sekusokwe
iziboshwa ezingama-450 esifundazweni.
Namhlanje sibika ngokuziqhenya ukuthi ekupheleni kukaMasingana wezi-2011
siphumelele ukusoka ababalelwa ezi-27500 kuhlanganisa izinsana ezingama- 22
20
ngale kokushona ngisho noyedwa wabasokwa. Lolu hlelo luyaqhubeka manje
ngokuqokwa ngokushesha kwabaphatha bezamasiko abazolusingatha kubo
bonke omasipala ngokukubonisana noMnyango wezamasiko.
Izindaba zabasenzi kwezeMpilo
Malungu ahloniphekile; iSigaba se-195 [1h] soMthethosisekelo wethu siyasho
ukuthi: ‘Kumele kugqugquzelwe ukuphathwa kwezindaba zabasebenzi ngendlela
kanjalo nezinqubo zokuthuthukisa umsebenzi, ukukhulisa okungenziwa
ngabantu’.
Iqiniso lithi umthwalo okhona wezifo ubeka ingcindezi enkulu ngokomzimba,
kwezenhlalo, ngokomphefumulo kanye nangokwengqondo kubahlinzeki
bokunakekelwa kwezokwelashwa komuntu ngqo nangokomsebenzi.
Umsebenzi owumgogodla weKolishi lokufundela ubuHlengikazi laKwaZulu-Natali
wukuqeqesha kanye nokukhiqiza abahlengikazi abawaziyo umsebenzi wabo.
Ngenkathi ukuqeqesha kuyindlela yokulwisana nobubha ngandlela thize kulabo
abasanda kubuthwa, kuphinde kudale amathuba okukhushulelwa ezikhundleni
eziphezulu kwezobuhlengikazi.
21
Isibalo sabafundi ababhalisile kuzo zonke izinhlelo emazingeni ehlukene siyizi-
5255 kwathi abafundi abayizi-1933 baphothula izifundo. Kowezi-2011 sizama
ukuqeqesha abasizi babaHlengikazi abangama-600 kanye noStafunesi
abangama-600.
Selokhu kwaqaliswa uHlelo lokuSebenza uqeqeshwa eMphakathini kowezi-2008,
abaHlengikazi abaqeqeshwe ngokugcwele abangama-1984 bafakwa eziBhedlela
kanye naseMitholampilo yezeMpilo zoMphakathi nokuyinto efaka isandla
ekunciphiseni izikhala ezingenamuntu kuBahlengikazi abaqeqeshwe
ngokugcwele. Yonke imizamo iqondiswe ekufezeni iNhloso yokuThuthukisa
ngeNkulungwanenyaka ye- 4 (Ukwehlisa ukushona kwezingane). Ukufeza lokhu,
ubambiswano neNyuvesi yaKwaZulu Natali ohlelweni lokuBelethisa
olulwazinzulu lweminyaka emibili luyaqhubeka.
Ngalo mzamo uMnyango usuthole abanye abaBelethisi abalulwanzinzulu
kwezokubelethisa abangama-55 ngoZibandlela kowezi-2010 nabanye
abazoqeda ngoZibandlela kowezi-2011. Okuphuma eKholiji lokuFundela
uBuhlengikazi lethu kuzoba ngama-50 ababelethisi abalulwazinzulu
kwezokubelethisa ngonyaka.
22
Uhlelo lwethu lokwenza ngcono ukuNakekela ezeMpilo okuseQopheleni
eliphezulu kanye nokuqinisekisa ukuthi siyazifeza nezinjongo ezibekiwe,
njengoba kubaluliwe ohlelweni lwaMaphuzu ayiShumi, ukwenza ngcono izinga
lobuholi kanye nokulawulwa. Kuyaziwa ukuthi isilinganiso sanoma yiluphi uhlelo
lwezempilo luba nomthelela emiphumeleni yezempilo.
Izikhulu eziphezulu eziyi-12 zezibhedlela zethu zibhalisele iziQu zeMastazi
kwezeMpilo yoMphakathi kanti sesikhiphe imifundaze engamarandi ayizigidi
ezingama-36 kubafundi abangama-755, abangama-383 abangodokotela
bakusasa abaqhamuka emiphakathini eyehlukene. Kumele sigcizelele ukuthi
manje sesifake isibopho esiqinile sokubuyela emuva siyosebenzela umphakathi
esivela kuwo. Ngihlale ngithi; ngeke sisakulalela ukukhalela ukuncipha
kwabasebenzi bezempilo abaqeqeshiwe. Impendulo yami ihlala ithi: Baphi
abantwana bendawo?
Siphinde siziqhenye ukumemezela ukuthi sinabasebenzi abangama-263
abasemazingeni amaphakathi abasebenza ukuqinisa abasebenzi abesekayo
ezigabeni ezehlukene okufaka i-Occupational Therapy; Okokuzivocavoca kanjalo
nabasiza emaKhemisi.
23
Uhlelo lokuQeqeqsha kwezoKwelapha lwase-Cuba
Somlomo, siyaziqhenya ngenqubekela phambili efike noHulumeni wase-Cuba
wokuthatha abafundi basezindaweni zasemakhaya ezweni lethu ubashintshe
babe ngodokotela abaqeqeshiwe. Lolu hlelo luqhubeka kahle kanti nezinga
lokuphumelela lilinganiselwa kumaphesenti angama-98. Iqembu lakamuva
elivela KwaZulu-Natali linabafundi abayi-14 elaqala ngoMandulo kowezi-2010
kanye nabangama-20 abongeziwe abazothathwa kowezi-2011. Kuyasijabulisa
ukuthi uMnyango kaZwelonke wezeMpilo ubonisana ngokwenyusa inani
labafundi iNingizimu Afrikha elibathumela e-Cuba ukuba bayofundela iziQu
zezokwelapha.
Njengendlela yokunakekela labo bafundi abaqhamuka KwaZulu-Natali,
kuthunyelwe okokubhala e-Cuba. Sesiqalise uhlelo lokusiza laba bafundi
abakhethekile kanti sesingakwazi ukubika ukuthi amanyuvesi ayi-16 aseke
avakashelwa ukuyokhulumisana nabo kanye nokubeseka. Ngaphezu kwalokho,
umethuli ozinikele useqokiwe ukuba enze lo msebenzi. Kuze kube yimanje
kunabafundi abangama-57 base-KZN abafunda eCuba.
Ubunjiniyela bobuChwepheshe bezeMpilo
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Somlomo, njengengxenye yemizamo okuhloswe ngayo ukwenza ngcono
iziNsizasebenza ngobuChwepheshe bezeMpilo sesinqume ukubalula, siphinde
sibuthe abafundi abangama-93 ngohlelo oluhlongozwayo kuzo zonke
iZifundazwe, abathunyelwa ukuba bayoqeqeshwa e-Tswane University ukuba
bayofundela ubuNjinyela bobuChwepheshe bezeMpilo. Ngonyaka wezimali wezi-
2010/ 11 kunabangama-23 abakhokhelelwa amarandi ayizi-660 000; kowezi-
2011/12, kuzoba nabangama-30 abazokhokhelelwa amarandi ayisigidi esi-1.56
kanti kowezi- 2012/13 kuzoba nabangama-40 abakhokhelwela amarandi ayizigidi
ezi-2. 76.
Ukudidiyelwa kweMisebenzi egxile eMiphakathini
Somlomo, abaNakekela abantu eMphakathini phambilini babephethwe
yiziNhlangano eziziMele kanti uMnyango wawunezivumelwano ezivuselelwa
njalo ngonyaka. Isinqumo sathathwa ukuba kumiswe isivumelwano zingama-30
kuMandulo kowezi-2010 ngenxa yokukhathazeka koMcwaningimabhuku Jikelele
kanye noMnyango wezeMpilo, ngezigaba ezibekiwe wathatha ukulawulwa
kwezivumelwano waqala ngabaSebenzi bezeMpilo eMiphakathini. Isigaba
sokuqala saqala ngokusayinwa kwama-CHW ayizi-4868 ezifundeni eziyi-11
kanti izikhundla zabo zashintsha babizwa ngaBanakekeli boMphakathi abathola
imali eyenyukile engamarandi ayi-1500. Abaphathi babo babelwa imali
25
engamarandi ayizi-2000 ngenyanga. Iqembu lesibili labaNakekeli boMphakathi
(aBanakekeli abagxile emakhaya) elinesivumelwano nama-NPO liyomiswa
ngokusemthethweni ukusebenza zingama-31 kuNdasa kowezi-2011.
Somlomo, siphinde sanquma ukuklomelisa labo abanikele isikhathi sabo
ngokukhuthala ukusiza abampofu nabagulayo ngokukhetha aBanakekeli
boMphakathi abangama-245 nokubabhalisa eZifundweni zoBuhlengikazi
zeminyaka emibili njengendlela yokubabonga ngokukhombisa uzwelo.
Amanxusa entsha kanye ne-EPWP
UMnyango uphinde ube noHlelo lwaManxusa eNtsha olwakhelwe ukunika
amandla kubantu abasha ngamakhono empilo ayisisekelo esiwanika esikhathini
esiyizinyanga ezingama-24 (iminyaka emibili). Uma beqeda izifundo
zokuqeqeshwa kokuqala bangasebenza lapho bethanda khona kuHulumeni.
Imisebenzi yokuHlenga eGxile eMphakathini
Emizamweni yethu eqhubekayo ukusebenza namaklayenti ethu emazingeni
omphakathi, sinamathimba abhekela imisebenzi yokuhlenga. Kunezikhungo
ezimbili vo zokuhlenga (esisodwa eMgungundlovu nesinye ePhoenix),
amathimba ethu, anabeluleki ngokwengqondo, abezokudla, osonhlalakahle,
abasebenzi abagxile ekuhlengeni emphakathini (ama-CBR), ahlinzeka usizo
26
njalo ngesonto of note noma ngenyanga. Okuncomekayo ukusungulwa
kwesikhungo sokuqeqesha abangaboni nababona kancane kwaMagaye
eMgungundlovu. Abantu abayishumi nambili abangaboni kahle baqeqeshiwe
ngamakhono ayisisekelo okuhlenga emphakathini (e-CBR) kanye nabantu
abayishumi nanye abangaboni sebeqede ukuqeqeshelwa ukuHamba kanye
noKwazi indawo. Sihlele ukukhomba izigceme ezingama-57, kowezi-2011/12,
esizosebenza nawo ukuthuthukisa kanye nokuqinisa imisebenzi yokuhlenga
emphakathini ( ye-CBR).
UMnyango uzinikele ekuvuleni amathuba emisebenzi kubaNtu abaPhila
nokuKhubazeka futhi kunezivumelwano zamazinga emisebenzi nabasebenzi
abangama-22 abahlenga emphakathini abakhubazekile eSifundazweni (babili
kwisifundakantolo) asebethumele abaNtu abaPhila nokuKhubazeka (ama-PWDs)
abangama-137 ukuze bathole usizo olunhlobonholgo nokweluleka ngokomqondo
abalingani kanye nosizo kwabanye abangama-77. Inhloso ukwenyusa inani
lalaba basebenzi nokwenza ngcono ukwenizwa kwemisebenzi
kwiziFundakantolo. Onompilo bazothola ukuqeqeshwa ngokukhuluma ngezandla
futhi bahambele izinkudla zokucobelelana ulzwazi okuqwashisa ukwenza ngcono
iqophela losizo olunikeza abantu abaphila nokukhubazeka (amaPWDs)
27
Imisebenzi ePhuthumayo yezoKwelapha
INdebe yoMhlaba yeFIFA yowezi-2010 ehlabe umxhwele yafika yacijisa yenza
ngcono ukuhlinzekwa kwemiSebenzi ePhuthumayo yezoKwelapha. Angiphinde
Somlomo; ngicele ungivumele ukuba ngedlulise ukubonga kwethu kwabesilisa
nabesifazane abenza lo msebenzi. Nenza saziqhenya ngesikhathi seNdebe
yoMhlaba.
Ekulungiseleni iNdebe yoMhlaba yowezi-2010, kwakhiwa isiKhungo sokuLawula
iZimo eziPhuthumayo nom iNdlu yokuPhatha yekhethelo ngoNhlaba ngonyaka
owedlule eSibhedlela saseWentworth. Lesi sikhungo siqinisekisa ukuthi zonke
izingcingo ezingena esikhungweni ziqoshwa phansi. Ukuhambisana nalesi
sikhungo, umnyango ulungiselela ukuthenga uhlelo lokulandela indawo imoto
ekuyo okuzosiza i-EMRS ukuba iqaphe ukuhamba kwawo wonke ama-ambulensi
kanye nezimoto zezimo eziphuthumayo ukuze abalawuli bakwazi ukuthumela
abaseduze kakhulu nendawo yengozi.
Lesi sikhungo sithenge ama-ambulensi ayi-125 ngeNdebe yoMhlaba yowezi-
2010. Emva komncintiswano angama-113 (ikhulu neshumi nantathu) abelwa
izifundakantolo, afakwa esikhundleni salawo ayesephelelwe yisikhathi nalawo
angenakukhandeka.
28
Ukubhekela ezezeMpilo zoMama kanye nokushona okuthintene nemidlezane
ayi-12 (ishumi nambili) ayesele afakwa ezikhungweni zokubelethisa
ukubhekelela ikakhulukazi abesifazane abakhulelwe nezinsana.
Somlomo, kulo nyaka wezimali, sizothenga amanye ama-ambulensi angama-
274. Inhloso ngalawa ma-ambulensi ukuwafaka esikhundleni salawo asegugile
kube kuphokophelelwe ukufeza izimiso zikaZwelonke. Ama-ambulensi amasha
axubile ukubhekana nobunjalo bendawo kanye nengqalasizinda yemigwaqo
esifundazweni.
Ukuhambisana nama-ambulensi engeziwe nokulandela izwi likaMongameli
wethu lokudala amathuba emisebenzi nemisebenzi engcono, kunezinhlelo
zokubutha abasebenzi beZimo eZiphuthumayo abangama-250. Ihhovisi
lomqondisi lizobutha abahlengizimpilo abasezingeni elimaphakathi,
oChwepheshe beZimo zokwelapha eZiphuthumayo kanye abahlengizimpilo
ngokusezingeni eliphezulu ukuba basebenzise izinsizakusebenza ukuzuzisa
imiphakathi. Lokhu kuhloswe ngakho ukwehlisa izikhathi zokufika esimweni
esiphuthumayo kanye nokuwenyusa inani lama-ambulensi asebenzayo.
29
Sibuyekeza ukusebenza kwezithuthi ezihlelelwe iziguli futhi sizosungula
‘izikhumulo’ (Hubs) ezindaweni lapho kuvamise ukuthunyelwa iziguli ukubhekana
nezinkinga zeziguli ezidukayo nokuqinisekisa ukuthi abantu abadala
abasebenzisa izuthuthi banakiwe. Izikhumulo zizosungulwa Empangeni,
eMgungundlovu kanye naseThekwini. Kuzoba neziphathimandla eziqokelwe
ukulawula ukuhanjiswa kweziguli ukuqinisekisa ukuthi zonke iziguli kuyaziwa
ukuthi zikuphi ngaso sonke isikhathi nokuthi ziyiswe emitholampilo eyiyo kanye
noma ezikhungweni ngezikhathi ezidingeka ngazo nokuthi zigibele izimoto
ezifanele lapho sezibuyiselwa emakhaya.
Izinhlelo zoLwazi ngezeMpilo
Somlomo, ubuChwepheshe bolwazi nokuxhumana (ICTs) bungakwazi
ukubhekana nezinye zezinselelo esibhekene nazo ekuhlinzekeni imisebenzi
yokunakekela ngezempilo etholakala, engabizi kakhulu, neseqophelweni
eliphezulu. Imithi ehanjiswa ngomoya isebenzisa ubucwepheshe bolwazi
nokuxhumana ukumelana nezinkinga zomumo wezindawo, kanye nokunyusa
ukufinyeleleka ekunakekelweni kwezezempilo. Lokhu kuyasiza ezindaweni
zasemakhaya nasemiphakathini enganakiwe kanjalo nasemaqenjini angakwazi
ukufinyelela ekunakekelweni kwezezempilo.
30
Ukuthuthukisa ingqalasizinda kanye nokweseka ezokwelapha
Somlomo, uMnyango wethu uzimisele ukushintsha indlela yokusebenza yalolu
phiko. Manje sesiqoke uMphathi Jikelele omusha wengqalasizinda, uMphathi
weMisebenzi yokweseka ezokwelapha okungena ngaphansi kwalolu phiko,
abaPhathi abathathu bemiSebenzi yokuVuselela izibhedlela, uMphathi
wokuVuselela ubuCwepheshe kwezeMpilo kanye nabaSebenzi
bezobuChwepheshe kwezeMpilo abangamashumi amabili abazoqeqeshwa
amasonto amabili e-Tshwane University of Technology okulandelwa
wukuqeqeshelwa endaweni yokusebenzela okuthatha amasonto ayisithupha.
Ikhono lokwazi ukwenza umsebenzi liyophinde likhuliswe ngamakhono
okusebenza ayotholakala kwi-Development Bank of South Africa (i-DBSA). I-
DBSA iyophinde idlale indima ebalulekile ekuhleleni kanye nasekwakheni
isibhedlela esisha saseKing Edward.
Somlomo, uMnyango uyaqhubeka nokuhlangana nabo bonke abenzeli bawo
abaqalisa ukusebenza kanye noMnyango wezeziMali weSifundazwe ngenhloso
yokuxazulula izinselelo ezikhubaza ukwenziwa kwemisebenzi. INhloko
yoMnyango isibeke imihlangano yanyangazonke neNhloko yoMnyango
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wezeMisebenzi yoMphakathi lapho kuyodingidwa izinqinamba ezikhona
ekwenzeni imisebenzi kanye nezindlela ezizosetshenziswa ukubhekana nazo.
Ngenxa yokukhula kweSabelo sokuVuselela iziBhedlela, uMnyango uzokhulisa
imisebenzi yawo ohlelweni. Okunye okumele ufezwe kowezi-2010/11 yilokhu
okulandelayo:
• ISibhedlela esisha esinemibhede engama-400 kwisifundakantolo
esisezingeni loku-1 sizokwakhiwa ngoNhlaba kowezi-2011. Lokhu kusho
ukuthi yonke imisebenzi yesifundakantolo ebeyenziwa okwesikhashana
yizikhungo ezehlukene kubandakanya isibhedlela sase-Wentworth
isizobuyiselwa e-King George. Kowezi-2011/12 kuzoba yisiqalo sesigaba
sokugcina sokwakha esizogxila eSakhiweni esisha sokwelapha iSifo
soFuba kanye nokwenza ngcono imisebenzi yokwelapha abagula
ngengqondo.
Izikhungo zezeMpilo zoMphakathi - CHC
Somlomo, njengoba yonke imizamo ibhekiswe ekuqiniseni uhlelo oluyisisekelo
lwezokunakekela, uMnyango uzokwakha iziKhungo zezeMpilo zoMphakathi
(ama-CHC) ezintathu ezibiza izigidi zamarandi ezingama-R370.
32
• Lokhu kufaka i-St Chad’s eMnambithi ezovulelwa umphakathi ngoNhlaba
kowezi-2011; KwaMashu kanye nase-Turton ezizovulwa ngoNhlangulana
nangoNtulikazi ngokulandelana.
• Sesisiqedile futhi neSigaba souku-1 sokuphucula umtholampilo
waseGamalakhe ukuba ube sezingeni lesiKhungo sezeMpilo soMphakathi
kanti isigaba sesibili njengamanje sisewumdwebo futhi sizoqala
ukwakhiwa ngoLwezi kowezi-2011.
• Ezinye izikhungo zezeMpilo zoMphakathi ezizoqala ukwakhiwa
ngasekupheleni kwalo nyaka wezimali kubalwa kuzo uMsinga; i-
Dannhauser kanye noMzimkhulu.
Izindlu zokugcina izidumbu/emakhazeni
Somlomo, siyaziqhenya ukubika ukuthi sesiwuqede wonke umsebenzi
omayelana nokwakhiwa kwezindlu zokugcina izidumbu eziphenya ngokufa
eziningi kowezi-2010/11. Lokhu kufaka nalezi eziseMgungundlovu; eMtshezi,
eMadadeni kanye nase-Park Rynie.
Izindlu zokugcina izidumbu ezisakhiwa kodwa okumele ziqedwe ukwakhiwa
kowezi-2011/12 zise-Sayidi, eNyukhasela kanye naseMgungundlovana.
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NgoNhlangulana kulo nyaka sizophinde siqale ukwakha indlu yokugcina
izidumbu entsha e-Phoenix, umsebenzi oyogcina ngokuxazulula izinselelo
ezikhona zobukhulu bendlu dlini yokugcina izidumbu esemgwaqeni uMagwaza
Maphalala.
Somlomo, kumele ngikuveze ukuthi lo msebenzi ube nobuhixihixi selokhu
wedluliswa nguMnyango wamaPhoyisa eNingizimu Afrika kowezi-2006.
NgoMbasa kowezi-2011, saba nempumelelo ekuxazululeni izindaba zamaholo
eSifundazweni.
Njengoba ngike ngasho phambilini, uMnyango kulo nyaka uzoshintsha indlela
yawo yokwenza ngcono ukunakekela zonke izakhiwo zezempilo. Uphiko
lweNgqalasizinda eNhlokohhovisi luzodlala indima enkulu ekulawuleni
isabelozimali kanye nezinhlelo zokunakekela izikhungo. AmaThimba
okuNakekela kwiziFundakantolo ayosungulwa okuyovula amathuba amasha
emisebenzi egcwele ebantwini abangama-400 abaqeqeshiwe
nabangaqeqeshiwe.
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Imisebenzi yeziNdlu zoCwaningo lwezeMpilo kaZwelonke [National Health
Laboratory Services (NHLS)] KANYE nemiSebenzi yeBhange leGazi
likaZwelonke eNingizimu Afrika [South African Blood Bank Services (SANBS)]
Somlomo, sixoxisene ngesivumelwano sokwenza imisebenzi nabeziNdlu
zoCwaningo lwezeMpilo kaZwelonke (NHLS) kanjalo nabemisebenzi
yeBhange leGazi likaZwelonke eNingizimu Afrika (SANBS).
Kuhle ukukhumbula ukuthi phambilini imisebenzi yezindlu zocwaningo
yayingaphansi koMnyango wezeMpilo kodwa manje ngenxa yokubambisana
siyakwazi ukubika inqubekela phambili kanye nempumelelo ikakhulukazi
ekunciphiseni isikhathi esilindwayo nakuba kusenezinselelo mayelana nemali
ekhokhwayo. Inqubekela phambili idalwe yilokhu okulandelayo:
• Ukuhlinzekwa kwezokuthuthi ukulanda iziboniselo/okuzohlolwa zeziguli
emitholampilo.
• Ukuhlinzekwa kwamaPrinta e-SMS, okungubuchwepheshe obusha,
okungukuthi uma ukuhlola sekwenziwe endlini yokucwaninga,
imiphumele ibe seyedluliselwa emitholampilo ngama-SMS; okungukuthi
akumele onompilo balinde izithuthi ukuba zilethe imiphumela.
• Amakhompyutha ahlala ematafuleni ukuze kutholakale imiphumela
yasezindlini zocwaningo
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• Ubuchwepheshe besimanje osebuhlinzekwa emagcekeni ase-Afrika,
okungukuthi umshini oyi-GeneXpert wokuhlolela isifo sofuba owethulwe
wuNgqongqoshe wethu kaZwelonke, uMhlonishwa uDkt Aaron
Motsoaledi izolo esibhedlela i-Prince Mshiyeni Memorial. Lokhu
kuhambisana ngqo nombono kaNdunankulu owavezwa eNkulumweni
yeSifundazwe yoNyaka kowezi-2010 lapho athi:” Kuzogxilwa
ekwelapheni isifo sofuba ukuze kuncishiswe ukusabalala kwaso,
ukuqubuka kohlobo olungelapheki, ukunciphisa isilinganiso sabayeka
imithi kanye nokwenza ngcono izinga lokwelashwa.”
Somlomo, ngokuhlanganyela nabemisebenzi yesiKhungo sikaZwelonke
seGazi eNingizimu Afrika (SANBS) sisohlelweni lokuqalisa iziGungu
ezeNgamele ukuFakwa kweGazi eziBhedlela (ama-HTC’s). Iqhaza elimqoka
lalezi zigungu kuzoba wukuqapha kanye nokwenza ngcono ukusetshenziswa
kwegazi. Siyophinde sithuthukise, siqalise ukusebenza futhi sigcine uhlelo
oluqhubekayo lokuhlola izingabunjalo nokusebenza okufaka zonke izindawo
nayo yonke imikhakah engaphakathi esibhedlela. Lokhu kuzogcina kwenza
ngcono imiphumela yokunakekelwa kwezempilo futhi kugxila ekuvikelweni
kanye nasekuphenyeni izigigaba ezingezinhle.
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Ukwenza ngcono ezezimali zezempilo
Somlomo; uPhiko lwethu oluLawula uchungechunge lokwaba lube nempumelelo
enkulu mayelana neSu lokuKhawuleza nakuba imiphumela iza kancane,
okuningi okuyisendlalelo sekwenziwe. ISifundazwe ngokuhambisana
nemiKhakha eMqoka yokuSebenza njengamanje sibambe iqhaza
ezivumelwaneni eziyi-19 zamaThenda akwiRiphabhlikhi kanti sesiqalise ayisi-6
eSifundazwe.
Ukuqalisa ukusebenza ngezivumelwano ezilungile kudalule ukuncipha
kwesabelozimali seziMpahla kanye neMisebenzi sezigidi ezingamarandi aziyi-
100 kusukela kuZibandlela kunyaka wezimali wezi-2009/10 kuya kowezi-
2010/2011, okube ngukonga okukhulu.
Kube nokwenyuka ekuqapheni kanye nasekuhloleni okugcine kwenza kwaba
khona ukumiswa kanye nokuchithwa kwezivumelwano ezingasebenzi ngendlela
eMkhakheni wezoMphakathi. Umnyango awuzoqhubeka nokusebenzisana
nabahlinzeki bemisebenzi abangekho emthethweni. Kunomkhankaso
ngokusebenzisa izivumelwano ukuqinisekisa ukuthi uMnyango uthola okufanele
ngemali yawo kanjalo nezinqubo zokuthola abazowenzela imisebenzi
zihambisane nalokhu.
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UMnyango usubambisene noMnyango wezeziMali eSifundazweni ukubhekana
nezindaba ezimayelana nokulawulwa kwezimpahla kanti kulindeleke ukuba lolu
bambiswano luzoqinisekisa ukuthi Isu lokuHlolwa kwaMabhuku eziMali
okuMsulwa kuyofezeka ngonyaka wezimali wezi-2014.
Ekuqondeni ubudlelwane obunamandla phakathi kobumpofu kanye nezempilo
ezinhle, umnyango usuqalise inqubo yokuthenga izitshalo namaqanda
kwimifelandawonye ekhokhelwa wuMnyango wezoLimo neziNdaba zezeMvelo,
ngenhloso yokuqinisa izinhlelo zokuthuthukisa abamnyama kwezomnotho/iBEE
nezokusimamisa amabhinizinisi amancane/iSMME.
UMnyango usuqalile ukuthenga izingubo zemibhede yasesibhedlela
kwimifelandawonye ekhokhelwa wuMnyango wokuThuthukisa ezoMnotho.
Imisebenzi enjengokuhlanza izakhiwo, izingadi kanye nezinkundla iyokwenziwa
yimiphakathi yakuleyo ndawo, ngokuhambisana nezinjongo zoHlelo lokuVuselela
nokwakha kabusha/i-RDP, lapho kuyogxilwa ezinhlelweni eziphathelene
nezokudla, kanye nemisebenzi yezokuhlanza izingubo neminye imikhakha lapho
kungadalwa khona isikhala sokuthuthukisa uhlelo lokuthuthukisa abamnyama
kwezomnotho /i-BEE.
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Somlomo, sivumelana ngokuphelele nesimemezelo esenziwa nguMongameli
eNkulumweni yeSizwe yoNyaka kowezi-2011 lapho ethi: ‘Sesihambe indlela
ende. Sesizuze okuningi, kodwa izinselelo zisamile.’ Lo Mnyango wamuzwa
futhi nangesikhathi ethi unyaka wezi-2011 wunyaka wokudala imisebenzi, futhi
ukulandela lokho, siholwa yiKhabhinethi yaKwaZulu Natali ngaphansi kobuholi
bukaNdunankulu uZweli Mkhize, sinqume ukwenza okulandelayo:
• Ukubeka eceleni isamba esiyizigidi ezingama-R54 ukuqasha abasebenzi
abayi-180 njengamaThimba okuNakekela ukwenza ngcono iMphatho
ezikhiweni zezempilo kuzo zonke izifunda.
• Ukudala imisebenzi engama-700 kubasebenzi abazobamba iqhaza
ekusebenziseni osekulahliwe eziBhedlela naseMitholampilo kanjalo
nasekubhekeni amanye amathuba ekusetshenzisweni kabusha
kweMfucuza yezoKwelapha.
Sengiphetha Somlomo ngicela ukwethula isabelozimali soMnyango wezeMpilo
sonyaka wezimali zowezi-2011/12.
Okuhlinzekwa yisabelozimali
Kunyaka wezimali wowezi-2011/2012 isabelozimali ze-KZNDOH siyizi-R 24, 484,
855, 000. Lesi sabelo sikhombisa ukwenyuka ngezi-R 2, 368, 207, 000 noma
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ngamaphesenti ayi-11 uma kuqhathaniswa nesabelozimali esishintshiwe kowezi-
2010/11.
Imali
Umthombo wemali yeVoti 7: Ezempilo zinesibaelo esinemibandela esingaze
sifike kwizi-R 4, 434, 669, 000 kanye nokubekwa eceleni imali okungabelwana
ngayo eyizi-R 19, 986, 233,000.
Kulindeleke ukutba uMnyango wenyuse izimali zawo zisuke kwizi-R 162, 489,
000 ziye ku-R 227, 798, 000 kowezi-2011/12. Ukunyuswa okubhekiwe
kuhlobene nezimali zokuhlala nokudla zabasebenzi abasebenzisa izindawo
zokuhlala zoMnyango kanye nezimali ezikhokhwa yiziguli.
Uhlelo 1: Ukuphatha – R 344, 171, 000
Inhloso yalolu hlelo wukuhlinzeka ubuholi obunamasu nobunokweseka kanye
nokulawula kanye nokuphatha uMnyango wezeMpilo. Uhlelo luzolwela ukuthola
impumelelo kulezi zinto ezimqoka kulesi sikhathi sonyaka wezimali:
• Okumqoka koku- 1: Ukuphothula uHlelo lokuGuqula iMisebenzi/iSTP
• Okumqoka kwesi-2: Ukuqalisa ukusebenza uHlelo lokuKhawuleza
ukwenza ngcono ukulawula izimali kanye
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• Okumqoka kwes-3: Ukwenza ngcono ukuPhathwa kweZindaba
zaBasebenzi, izinhlelo kanye nezinqubo.
• Okumqoka kwe-4: Ukuqalisa ukusebenza kweSu lokuGuqula uLwazi
ngezeMpilo olufaka uBuchwepheshe, ukuLawulwa nokuQapha kanye
nokuHlola kweMininingwane.
Uhlelo 2: Imisebenzi yezeMpilo kwisifundakantolo R 11, 739, 824, 000
Inhloso yalolu hlelo wukuhlinzeka imisebenzi kwezempilo egcwele, edidiyelwe
kanye nenokuqhubeka (ukukhalima, ukugqugquzela, ukwelapha kanye
nokuhlenga) eyeyame ekuNakekeleni okuyisisekelo kwezeMpilo/i-PHC ngoHlelo
lwezeMpilo kwiSifundakantolo/ i-DHS).
• Okumqoka okoku-1: Ukuvuselelwa koHlelo lwezeMpilo
kwisiFundakantolo/iPHC.
• Okumqoka kwesi- 2: Ukuncishiswa ukuba khona kwegciwane lesandulela
ngulaza nokulawula izinga
• Okumqoka kwes-3: ukunciphisa ukuba khona kwesifo sofuba kanye
nokwenza ngcono imiphumela yaso.
• Okumqoka kwesi-4: Ukunciphisa ukushona ngezifo kanye nokufa
kwezinsana okuthintene nemidlezane ngokuqalisa ukusebenza “koHlelo
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oluwuChungechunge lwezeMpilo yoMama kanye nezingane olubhekise
kowe-2014.”
• Okumqoka kwesi-5: Ukwenza ngcono ukusebenza ngokuncomekayo
nezingabunjalo lwemisebenzi yezempilo.
Uhlelo 3: Imisebenzi ephuthumayo yezokwelapha R 926, 747, 000
Inhloso yohlelo lwesi-3 wukuhlinzeka ezithuthu kwabezimo eziphuthumayo,
kwezokwelapha, ukusindisa kanye nabezimo ezingaphuthumi (okukhethekile) kanye
nemisebenzi yokulawula izigameko eziyinhlekelele eSifundazweni.
Uhlelo 4: Imisebenzi yesibhedlela seSifundazwe – R 6, 366, 182, 000
Lolu hlelo lumiselwe ukuletha Imisebenzi yobuChwepheshe Jikelele yaseSibhedlela
okufinyeleleka kuyo, efanele nesebenza ngendlela encomekayo nenempumelelo
• Okumqoka okoku- 1: Ukuncishiswa kwemisebenzi yasesibhedlela
• Okumqoka kwesi-2: Ukwenza ngcono izingabunjalo nokusebenza
ngendlela encomekayo kwemisebenzi eKhethekile neyeSifunda
esiBhedlela.
Uhlelo 5: Imisebenzi yeziBhedlela eziMaphakathi - R 2, 473, 982, 000
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Inhloso yalolu hlelo wukuhlinzeka imisebenzi ngezigaba ezine onyakeni nethe
thuthu yezeMpilo
• Okumqoka koku-1: Ukuncishiswa kwemisebenzi yasezibhedlela
• Okumqoka kwesi-2: Ukwenza ngcono izingabunjalo nokusebenza
ngendlela encomekayo kwemisebenzi eKhethekile neyeSifunda
esiBhedlela.
Uhlelo 6: ISayensi yezeMpilo kanye noQeqesho – R 933, 442, 000
Ukuhlinzekwa kwamathuba okuqeqesha nawentuthuko kwabangaba abaqashwa
eMnyangweni
• Okumqoka koku-1: Ukuhambisana koqeqesho kanye nezidingo
zokwenziwa kwemisebenzi.
• Okumqoka kwesi- 2: Ukusungula iSu lokuPhatha uQeqesho
• Okumqoka kwesi-3: Ukuqalisa ukusebenza kweSu lomsebenzi ophakathi
nendawo
Uhlelo 7: Imisebenzi yokweseka ukunakekela kwezeMpilo – R 13, 971, 000
Inhloso yalolu hlelo wukunika imisebenzi emayelana nezamakhemisi
eMnyangweni.
• Okumqoka koku-1: Ukwenza ngcono ukuhambisana neziMiso nemithetho
yezamaKhemisi
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• Okumqoka kwesi-2: Ukwenza ngcono ukutholakala kwemithi.
• Okumqoka kwesi-3: Ukwenza ngcono izingabunjalo lemisebenzi
yezamaKhemisi.
Uhlelo 8: Ukulawulwa kweziNdow zezeMpilo – R 1, 686, 536, 000
Lolu hlelo lugxile ekuhlinzekeni izindawo ezintsha, ukwenza ngcono nokugcina
esimweni izindawo zezempilo nokulawula uHlelo lokuVuselela iZibhedlela kanye
neSabelo esinemibandela esihambisana nalokho.
• Okumqoka koku-1: Ukuguqula iMisebenzi yezeMpilo eSifundazweni
ngokuqalisa ukusebenza koHlelo oluhambisanayo lokuQalisa ukuSebenza
kweNgqalasizinda /i IPIP
• Okumqoka kwesi-2: Ukudala isimo sokusebenza eseseka ukwenziwa
kwemisebenzi
• Okumqoka kwesi-3: Uhlelo lokuVuselela iziBhedlela
• Okumqoka kwesi-4: Ukwenziwa ngcono kokuphathwa kweSabelo
sokuVuselela iziBhedlela, iSikhwama seMisebenzi yoMphenyi/umhloli
wokuShona okungaqondakali kanye neSikhwama seNgqalasizinda
ezifundazweni.
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Uma sisesbenza ndawonye siyozuza okukhulu.